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Endobronchial tuberculous granuloma in children
M Prada Arias1, J A Jardón Bahía, P Rodríguez Barca
1Service of Paediatric Surgery, University Hospital of Santiago de Compostela, Spain. marcosprada@hotmail.com
Summary
Endobronchial tuberculous granuloma is a rare complication in children with tuberculosis (TB). This study highlights its successful diagnosis and treatment via bronchoscopy and medical management, with favorable outcomes.
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Pediatric Surgery
Background:
- Endobronchial tuberculosis (TB) is uncommon in children, often arising as a complication of primary TB.
- Endobronchial involvement can manifest in various ways, with granulomas being infrequent.
- This study focuses on a specific, less common presentation: endobronchial tuberculous granuloma in pediatric patients.
Purpose of the Study:
- To report on the diagnosis and treatment of endobronchial tuberculous granuloma in children.
- To evaluate the clinical course and outcomes of these cases.
- To emphasize the importance of considering this condition in pediatric airway obstruction.
Main Methods:
- Retrospective review of 10 pediatric cases of endobronchial tuberculous granuloma treated between 1991 and 2004.
- Diagnosis and removal of granuloma performed via bronchoscopy.
- Standard medical tuberculosis treatment supplemented with a 4-week course of corticosteroids post-removal.
Main Results:
- Ten cases of endobronchial tuberculous granuloma were identified and treated.
- Two cases presented acutely as the initial sign of TB; the rest occurred during or after treatment for primary TB.
- All patients underwent successful bronchoscopic removal and responded well to medical treatment, with no reported complications.
Conclusions:
- Endobronchial tuberculous granuloma, though rare, is a treatable condition in children.
- Bronchoscopy is an effective method for diagnosis and removal.
- This diagnosis should be considered in children with airway obstruction symptoms, particularly those with known or treated tuberculosis.
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